Billing & Insurance Information
Insurance Coverage
Every insurance plan is different and the only way to know if visits will be covered is to call and verify. Check the phone number on the back of your insurance card to check what benefits you have for nutrition counseling.
List of plans accepted: Allegiance, Cigna, Aetna, Blue Cross Blue Shield, Missoula County Employee Benefits Plan, Mountain Health Co-Op, First Choice Health, PacificSource, MT Medicaid, Medicare
Benefits Verification
Use our insurance script to know exactly what to ask when calling your insurance to check your benefits. It is your responsibility for verifying what/if your insurance covers nutrition counseling.
- Ask about Medical Nutrition Therapy benefits with the CPT codes 97802 (initial visit) & 97803 (follow-ups) with the diagnosis code Z71.3 (dietary counseling and surveillance) or Diabetes (if being seen for diabetes management).
- Ask visits go towards your deductible (the amount YOU have to pay before insurance starts to cover benefits) or if it is a preventive benefit.
- Check if there’s a visit limit, if you have virtual and in-person coverage, and if they require a referral.
Out-Of-Pocket Rates
If you do not have insurance or if your insurance does not cover nutrition counseling, you can pay with our out-of-pocket pricing.
- Initial Visits: 90 minutes, $180
- Follow-Up Visits: 60 minutes, $125
Sliding Scale Payments
At Nutrition-Focused Health, we believe nutrition services should be accessible to clients. We offer sliding scale discounts to those who qualify based on household income. Please call (406) 510-8700 for information or complete the form below.
Payment Accepted
Cash, check, credit cards, HSA, and FSA are all accepted. Payment is expected at the time of services for self-pay clients. If you are using insurance, payment will be expected once the Explanation of Benefits is issued from your insurance company.
Important Info for Medicare & MT Medicaid Patients
There are special requirements to utilize nutrition counseling services for Medicare & Medicaid plans. Please review below.
Medicare
Nutrition counseling is only covered for those with diabetes OR chronic kidney disease (stages 3 and up). It does not cover weight loss, pre-diabetes, or any other medical condition. This is under Medicare Part B. You get 3 hours of nutrition counseling in your first year of using this benefit followed by 2 hours of nutrition counseling every year after that, resetting in January. They do require a referral from your primary care provider.
Medicare supplement plans often will not cover additional nutrition counseling. Medicare Advantage plans are a mixed bag and you will have to call and verify your benefits. In my experience, many still only cover nutrition counseling for diabetes or chronic kidney disease.
Montana Medicaid
Montana Medicaid offers nutrition counseling coverage for those 20 y.o. and under only, for most medical conditions. They do require a referral from your primary care provider. There is also coverage if you have diabetes or chronic kidney disease at any age but only through specific diabetes programs. Call to learn more.
Sliding Fee Scale
I also offer sliding fee scales for those who quality based on household income. Please call us at (406) 510-8700 for more information.
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